Health Library

Sleep Apnea

(Obstructive Apnea; Central Apnea; Mixed Apnea)

Definition

Sleep apnea is a disorder with pauses in breathing while you are asleep. These pauses can last for 10 to 30 seconds at a time. During one night, breathing may stop up to 400 times.

There are 3 types of sleep apnea:

Obstructive

Central

Mixed

The brain will sense a pause in breathing and wake you up. You may not be fully awake and often do not remember in the morning. However, waking breaks the sleep cycle. Poor sleep can make you tired during the day. Over time this will also lead to other serious medical conditions like
high blood pressure
or
depression
.

Causes

Major causes will depend on the type of sleep apnea:

Obstructive—Muscles in the body to relax during sleep. Soft tissue in the back of the throat and mouth may then sink toward the throat. This tissue can block the airway until the person wakes.

Central—Breathing is controlled by signals from the brain. It can be slowed or paused if the signals are not working as they should.

Sleep apnea also increases the risk of car accidents. It is most likely due to lack of sleep. Avoid driving or using hazardous equipment if you are sleepy during the day .

Diagnosis

The doctor will ask about your symptoms and past health. The doctor may suspect sleep apnea based on questions. An overnight sleep study may be done. Sleep will be monitored by a medical team. Most sleep studies will take place in a clinic but some may be done at home.

Treatment

Treatment will help you can sleep better. This should reduce symptoms. Healthy sleep will also reduce risk factors for other health problems. The exact treatment will depend on the type of sleep apnea.

Managing Mild Apnea

Mild obstructive apnea may be relieved with some of the following:

Lose excess weight. The doctor or a registered dietitian can help to make a meal plan.

Avoid sedatives, opioids, sleeping pills, alcohol, and tobacco. They make your tissue relax more. It will make apnea worse.

Try sleeping on your side instead of on your back. Soft tissue will easily fall into your airway if you are on your back.

Use pillows to help you prop yourself into a better position when sleeping.

Oral appliances are small devices you put in your mouth. They will keep the lower jaw in a forward position. This position pulls the tongue away from the airway. It may be helpful for those with mild sleep apnea. The devices may also be used for those with moderate obstructive sleep apnea who cannot use CPAP therapy.

Mechanical Therapy

Continuous positive airway pressure
(CPAP)
is a machine that gently blows air into your airway to help keep it open. The air is delivered through a mask that you wear while sleeping. CPAP will help you manage sleep apnea but it does not cure it. If you stop using CPAP, the sleep apnea will return immediately.

Oxygen may also be added at night with CPAP. It may be needed if the level of oxygen in the blood falls too low during sleep.

Surgery

Surgery may be helpful for some with obstructive sleep apnea. It can be used to shrink or remove extra tissue. Types of surgery include:

Maxillomandibular advancement—lower jawbone is placed in a more forward position.

A less available option is called phrenic nerve stimulation. A device is implanted under the skin and sends signals to the phrenic nerve. This nerve controls a large muscle that helps draw air into the lungs. This options is still being assessed for those with central sleep apnea.

Medications

Certain medicine may be used to reduce daytime symptoms. Other medicine may need to be changed or stopped if they are making sleep apnea worse.

Prevention

You may be able to prevent sleep apnea by maintaining a
healthy weight.

This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.

Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.